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Article in Japanese

Recurrent severe pneumococcal diseases due to serotype 15A in a 14-year-old girl with cerebral palsy

Akiyoshi NARIAI, Taichi KANETAKA

We present a case with cerebral palsy that suffered from recurrent severe Streptococcus pneumoniae infections due to the same serotype 15A.
This 14-year-old girl presented with hypothermia and was found to have invasive pneumococcal disease (IPD) due to serotype 15A grown by blood culture in January 2010 followed by pneumonia with hypothermia and wet cough due to serotype 15A grown by aspirated sputum culture in March 2010.
In Japan, heptavalent pneumococcal conjugate vaccine (PCV7) was introduced in February 2010. Just as for healthy children, even for ages over five years old, children with an underlying medical condition such as cerebral palsy with an increased risk of IPD should be recommended for the administration of PCV7 and pneumococcal polysaccharide vaccine (PPSV23) that is recommended by American Academy of Pediatrics to prevent Streptococcus pneumoniae infections.

Department of Pediatrics, Yokohama Minami Kyousai Hospital

Key words
Received September 15, 2011
Accepted December 14, 2011

24 (2):143─148,2012